District Health Department

District Health Department, doing business as Cadillac Health Dept., is a non-profit organization headquartered in Cadillac, Michigan that acts as a federal grant recipient and sub-recipient for public health, disease prevention, and community health programs administered by the Centers for Disease Control and Prevention, the Health Resources and Services Administration, and the Centers for Medicare and Medicaid Services. The organization operates almost entirely as a sub-recipient (94% of recent awards) of federal grants passed through the Michigan Department of Health and Human Services and the CDC, with a small portfolio of direct prime grants from federal health agencies.

The organization's federal footprint is concentrated in public health infrastructure, substance abuse prevention, chronic disease prevention, maternal and child health, immunization programs, and health equity work. As a direct grant recipient, District Health Department has received a $125,000 Drug-Free Communities Support Program grant (CFDA 93.276) from the CDC awarded July 1, 2026 to support the Oceana Leads Coalition's substance abuse prevention efforts across Oceana County, Michigan through June 30, 2031; a cooperative agreement from the CDC's National Center for Chronic Disease Prevention and Health Promotion for the Live Well Reach Program beginning September 30, 2023 through September 29, 2028 to address chronic disease and health disparities in African American and Hispanic populations across three counties in the District Health Department's jurisdiction; and a $125,000 project grant from the CDC's Center for State, Tribal, Local, and Territorial Support awarded September 30, 2022 (completed December 30, 2023) for social determinants of health accelerator plan development across ten rural counties in north-central Michigan. As a sub-recipient, the organization receives the bulk of its federal funding through Michigan Department of Health and Human Services sub-awards covering public health emergency preparedness, tuberculosis control, maternal and child health, family planning services, WIC programs, immunizations, childhood lead poisoning prevention, and children's special health care services. The organization has received recurring annual sub-awards across dozens of these programs since 2022, with 34 awards in 2025 alone.

Customer concentration is heavily weighted to health agencies within the Department of Health and Human Services. The top five funding agencies account for 67% of awards and include the CMS (28 awards), the CDC (23 awards), and HRSA (23 awards), with the Department of Agriculture Food and Nutrition Service and a second CDC program tranche representing the remainder of the high-volume set. Total combined dollars obligated across 141 awards spanning the source data period is $24.4 million. The organization serves eighteen distinct customer agencies. Activity has grown substantially from five awards in 2022 to 44 in 2023 and remained at approximately 40–42 awards annually in 2024 and 2025, with one award recorded so far in 2026. Only one award carries an ultimate completion date within the next twenty-four months, indicating minimal near-term recompete pressure.